II. Precautions

  1. See Wheezing
  2. All that Wheezes is not Asthma (see Wheezing)!!
  3. However most recurrent cough with Wheezing is Asthma

III. Differential Diagnosis: Children

  1. See Chronic Cough Causes in Children
  2. Upper airway disease
    1. Allergic Rhinitis
    2. Sinusitis
  3. Large airway obstruction
    1. Foreign body
    2. Vocal Cord Dysfunction
    3. Vascular Rings of laryngeal webs
    4. Laryngotracheomalacia
    5. Tracheobronchial-stenosis
    6. Enlarged lymph node or tumor
  4. Small Airway obstruction
    1. Viral Bronchiolitis
    2. Bronchiolitis Obliterans
    3. Cystic Fibrosis
    4. Bronchopulmonary Dysplasia
    5. Congenital Heart Disease
  5. Other Causes
    1. Psychogenic cough
    2. Gastroesophageal Reflux
    3. Malingering if Secondary Gain (e.g. missed school)
    4. Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss)

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